Tell Down Home about yourself!

Disclaimer: The data that you share will never be shared outside of Down Home!

Question Title

* What's your name, and where are you from?

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* How do you identify ethnically?

Question Title

* Down Home is all about organizing and building power-- and that takes a bunch of meetings and gatherings :) We want to meet everyone’s needs. What do you need to participate in our work?

Childcare during meetings

Online/Virtual options so I can join from home

Transportation to meetings/events